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The use of life review to enhance spiritual well‐being in patients with terminal illnesses: An integrative review

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  • Cecilia W M Kwan
  • Marques S N Ng
  • Carmen W H Chan

Abstract

Aims and objectives To conduct an integrative review of the current literature on using life review as an intervention to address the spiritual need of patients with terminal illnesses. Background Palliative care highlights the holistic approach of care including the spiritual aspect. Life review has been used in palliative nursing intending to enhance patients’ emotional and spiritual well‐being, and quality of life. However, there is a lack of publications that provide a structured overview on life review programmes and their effectiveness. Design Integrative review. Methods The Whittemore and Knafl integrative review method was used. Five major online databases were included in our literature search. The keywords used were “life review” and “palliative care, terminal care, terminally ill, death & dying, hospice, spiritual wellbeing, spirituality”. Seven primary papers were identified, critically appraised and synthesised in the final review. Results There are limited clinical studies on life review programmes for patients with terminal illness. The research design of these studies is too widely varied for meta‐analysis. Here, we identified two major programmes of life review as an intervention to address the spiritual well‐being of patients with terminal illness. However, repeated studies on the effectiveness of these two programmes are lacking. The shorter programme of life review is more likely to be applicable and effective for terminal patients. Conclusions Further research in this area is required to provide strong evidence on the effectiveness and applicability of life review in patients receiving palliative care. Relevance to clinical nursing This review adds weight to the need of a better understanding on the use of life review in addressing the spiritual needs of patients with terminal illness. Such understanding would provide evidence for the use of life review as an alternative approach in palliative care delivery.

Suggested Citation

  • Cecilia W M Kwan & Marques S N Ng & Carmen W H Chan, 2017. "The use of life review to enhance spiritual well‐being in patients with terminal illnesses: An integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4201-4211, December.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:4201-4211
    DOI: 10.1111/jocn.13977
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    References listed on IDEAS

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    1. Carmen WH Chan & Ying Yu Chui & Sek Ying Chair & Michael MK Sham & Raymond SK Lo & Catalina SM Ng & Helen YL Chan & David CY Lai, 2014. "The evaluation of a palliative care programme for people suffering from life‐limiting diseases," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(1-2), pages 113-123, January.
    2. Huimin Xiao & Enid Kwong & Samantha Pang & Esther Mok, 2012. "Perceptions of a life review programme among Chinese patients with advanced cancer," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(3‐4), pages 564-572, February.
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